EBONY ANDREA CUSTODIO

SAN DIEGO, CA
NPI1679398291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  106s00000x)
Enumeration Date2024-11-19
Last Update Date2024-11-21
Business Address
EBONY ANDREA CUSTODIO
3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123-1847
Phone number: 951-813-4034
Mailing Address
EBONY ANDREA CUSTODIO
3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123-1847
Phone number: 951-813-4034